ArticleWorld journal of orthopedics2020
Impact of gender and race on expectations and outcomes in total knee arthroplasty.
Article in World journal of orthopedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 33 citations in OpenAlex.
- Sociodemographic Differences in Long-Term Function After Total Hip and Knee Arthroplasty: A Scoping Review.Orthopaedic surgery · 2025Article
- Perioperative and Follow-Up Analyses of Primary Posterior Stabilized and Cruciate Retaining Knee Arthroplasty.Journal of clinical medicine · 2025Article
- The effect of Charlson Comorbidity Index, race, and surgical complications on postoperative knee outcomes after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- The Outcome of Post-Surgical Hip Prosthesis Rehabilitation: Results from a Monocentric Cohort Study.Journal of clinical medicine · 2025Article
- Diagnosis and Treatment Strategies of Meniscus Root Tears: A Scoping Review.Orthopaedic journal of sports medicine · 2024Article
- Beyond Discharge Disposition: A Scoping Review on Sociodemographic Disparities in Rehabilitation Use After Hip and Knee Arthroplasty.Physical therapy · 2024Article
- Association of race and ethnicity with opioid prescribing for Medicare beneficiaries following total joint replacements.Journal of the American Geriatrics Society · 2024Article
- Sex differences in perceived expectations of the outcome of total hip and knee arthroplasties and their fulfillment: an observational cohort study.Rheumatology international · 2023Observational
- Associating Social Determinants of Health With PROMIS CAT Scores and Health Care Utilization After ACL Reconstruction.Orthopaedic journal of sports medicine · 2023Article
- Differences in synovial fibrosis relative to range of motion in knee osteoarthritis patients.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022Article
- Evaluation of Patient Expectations before Carpal Tunnel Release.Plastic and reconstructive surgery. Global open · 2021Article
- Does racial background influence outcomes following total joint arthroplasty?Journal of clinical orthopaedics and trauma · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal joint arthroplasty is one of the most common surgeries performed in the United States with total knee arthroplasty (TKA) being one of the most successful surgeries for restoring function and diminishing pain. Even with the demonstrated success of TKA and a higher prevalence of arthritis and arthritis related disability among minorities, racial and gender disparity remains a constant issue in providing care for the adult reconstruction patient.
aimTo assess the role of demographics and expectations on differences in perioperative patient reported outcomes (PRO) following TKA.
methodsOne hundred and thirty-three patients scheduled for primary unilateral TKA secondary to moderate to severe osteoarthritis were enrolled in this two-institution prospective study. Validated PRO questionnaires were collected at four time points. Statistical analysis was conducted to determine the impact of gender, ethnic background and expectation surveys responses to assess PRO at these time points.
resultsFemales were associated with worse preoperative Knee Injury and Osteoarthritis Outcome Scores (KOOS) for symptoms, pain, and activities of daily living. African Americans were associated with worse KOOS for pain, activities of daily living, and quality of life. Despite worse preoperative scores, no difference was noted in these categories between the groups postoperatively. Additionally, all pre-operative psychometric scales were equivalent across groups except Geriatric Depression scale, which was significantly different between groups within the Race and Age Group (
conclusionWe conclude that female and African American patients have lower preoperative KOOS scores compared to white male patients. No postoperative differences in outcomes between these groups.
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